A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?

Use a cuff with a width that is about 60% of the client's arm circumference.

Release the pressure on the client's arm 5 to 6 mm per second.

Apply the cuff above the client's antecubital fossa

Have the client sit with his arm resting above the level of his heart.

Answer and Explanation

Correct Answer : A,B

A cuff that is too narrow or too wide can result in inaccurate blood pressure readings. The cuff should be snug but not tight and cover about 80% of the arm length. The pressure should be released at a rate of 2 to 3 mm per second to avoid missing auscultatory gaps or causing discomfort to the client.

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Correct Answer is B

Explanation

To prevent electrical shocks and fires, the nurse should instruct residents to disconnect electrical equipment by grasping the plug, not by pulling on the cord. The nurse should also advise residents to avoid taping electrical cords to the floor, as this can damage the insulation and create a tripping hazard. The nurse should warn residents not to use electrical equipment with exposed wires or frayed cords, and not to cover them with tape, as this can increase the risk of sparks and short circuits. The nurse should remind residents to clean electrical equipment only after disconnecting it from the power source and following the manufacturer's instructions.

A. "The client's age is part of the measurement." B. The scale measures six elements." C. "Each element has a range from one to five points. D. "The higher the score, the higher the pressure injury risk."

Correct Answer is B

Explanation

This response shows that the newly licensed nurse knows the components of the Braden scale, which are sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

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A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse at an assisted living facility is preparing an in-service for residents about electrical safety. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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